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ST분절의 상승을 보이지 않는 급성 흉통 환자에서 심근조영 심초음파의 역할
DC Field | Value | Language |
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dc.contributor.author | 임세중 | - |
dc.contributor.author | 장양수 | - |
dc.contributor.author | 최동훈 | - |
dc.contributor.author | 정남식 | - |
dc.contributor.author | 민필기 | - |
dc.contributor.author | 강석민 | - |
dc.date.accessioned | 2015-07-15T16:50:33Z | - |
dc.date.available | 2015-07-15T16:50:33Z | - |
dc.date.issued | 2003 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/113706 | - |
dc.description.abstract | Background and Objectives:We hypothesized that simultaneous assessment of myocardial perfusion and a regional wall motion abnormality, using real-time myocardial contrast echocardiography (MCE), provides more useful information than routine two-dimensional echocardiography (2DE) in the diagnosis of acute coronary syndrome in patients with a non-diagnostic ECG. Subjects and Methods:We prospectively enrolled 101 patients (age:61±10 years, 57 men) who presented with acute chest pain. A routine 2DE was performed to evaluate the regional wall motion abnormality, and a MCE to assess the perfusion defect. Coronary angiography was performed in all patients. The cardiac events (myocardial infarction, revascularization and death) were analyzed. Results:Of the 101 patients studied, 64 had significant coronary artery disease (diameter stenosis >70%). Cardiac events occurred in 58 patients; 21 myocardial infarction, 48 revascularization. The sensitivities of 2DE and MCE for significant coronary artery stenosis were 57.8 and 73.4%, and the specificities were 83.8 and 81.1%, respectively. Of the 58 patients with cardiac events, a regional wall motion abnormality was observed in 34 (59%), and a perfusion defect in 44 (76%). The specificities of 2DE and MCE for cardiac events were 79 and 77%, respectively. Cardiac events were more frequent in males, smokers and in those with an abnormal ECG (p<0.05), but only a perfusion defect independently predicted cardiac events (p<0.001, odds ratio=8.37). Conclusion:Real time MCE, in patients with acute chest pain, reasonably predicts significant coronary artery stenosis, and identifies those who will have cardiac events. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.relation.isPartOf | KOREAN CIRCULATION JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | ST분절의 상승을 보이지 않는 급성 흉통 환자에서 심근조영 심초음파의 역할 | - |
dc.title.alternative | The Role of Myocardial Contrast Echocardiography in Acute Chest Pain without ST Elevation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | 민필기 | - |
dc.contributor.googleauthor | 김현주 | - |
dc.contributor.googleauthor | 조승연 | - |
dc.contributor.googleauthor | 정남식 | - |
dc.contributor.googleauthor | 장양수 | - |
dc.contributor.googleauthor | 임세중 | - |
dc.contributor.googleauthor | 최동훈 | - |
dc.contributor.googleauthor | 강석민 | - |
dc.contributor.googleauthor | 홍그루 | - |
dc.contributor.googleauthor | 변영섭 | - |
dc.contributor.googleauthor | 정욱진 | - |
dc.contributor.googleauthor | 강웅철 | - |
dc.contributor.googleauthor | 정재헌 | - |
dc.contributor.googleauthor | 안정아 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03372 | - |
dc.contributor.localId | A03448 | - |
dc.relation.journalcode | J01953 | - |
dc.identifier.eissn | 1738-5555 | - |
dc.subject.keyword | chest pain | - |
dc.subject.keyword | myocardial isschemia | - |
dc.subject.keyword | echocardiogrphy | - |
dc.subject.keyword | contrast media | - |
dc.contributor.alternativeName | Rim, Se Joong | - |
dc.contributor.alternativeName | Jang, Yang Soo | - |
dc.contributor.affiliatedAuthor | Rim, Se Joong | - |
dc.contributor.affiliatedAuthor | Jang, Yang Soo | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 33 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 284 | - |
dc.citation.endPage | 293 | - |
dc.identifier.bibliographicCitation | KOREAN CIRCULATION JOURNAL, Vol.33(4) : 284-293, 2003 | - |
dc.identifier.rimsid | 49032 | - |
dc.type.rims | ART | - |
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